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Maintenance and Test Report
(See the above sections for detailed test procedures and contents)
Customer name
Customer address
Servicing person
Servicing company
Equipment under test (EUT)
Model of EUT
SN of EUT
Hardware version
Software version
Test equipment Model/No. Effective date of calibration
Test items Test records Test
results(Yes/No)
Visual inspection
The case, display screen, buttons, knob, SMR, modules, power
cord, wall-mount bracket and accessories have no obvious signs
of damage.
Yes N o
The external connecting cables are not frayed and the connector
pins are not loose and bent.
Yes N o
The external connectors are not loose or their pins are not bent. Yes No
The safety labels and data plate are clearly legible. Yes No
Power-on test
The power-on test is passed. The power indicator and alarm
system work correctly and the monitor start up properly.
Yes N o
Performance test
ECG performance test and calibration
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